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LO, Flexible, Off-the-Shelf

New Hampshire rates for HCPCS L0625

Lumbar orthosis (LO), flexible, provides lumbar support, posterior extends from L-1 to below L-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does LO, Flexible, Off-the-Shelf cost?

$36.31

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $43.65 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$36.31$36.31 to $36.31
FacilityA hospital or hospital-owned outpatient department$43.65$42.66 to $45.71

How much rates vary

Facilitymedian $44 · 10th to 90th $36 to $52Professionalmedian $36 · 10th to 90th $28 to $44
$20$50$100facility $44professional $36

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$36.31
Typical High
$43.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$38.02
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$29.51
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$36.31
Typical High
$52.48
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$67.61

Where New Hampshire sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Hampshire· 12th of 51

$36.31

HI $63.10DC $18.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.